Environmental lung disease arises when inhaled pollutants, toxins, or occupational hazards trigger chronic inflammation or structural lung damage. Individuals exposed to dust, chemical fumes, smoke, or organic particles are particularly vulnerable, and conditions can range from mild airway irritation to progressive fibrotic disorders. Symptoms may include persistent cough, shortness of breath, wheezing, or reduced exercise tolerance. Accurate diagnosis depends not only on imaging and lung function tests but also on a detailed assessment of environmental and occupational history. Identifying the offending agent is essential for prevention, as ongoing exposure can worsen outcomes and accelerate disease progression.
Management combines exposure reduction, symptomatic treatment, and long-term monitoring. Avoiding hazardous environments, using protective respiratory equipment, and implementing workplace controls are primary preventive strategies. Medical interventions may include anti-inflammatory medications, bronchodilators, and therapies targeting infection control when secondary bacterial complications occur. Pulmonary rehabilitation programs help restore physical capacity, while patient education emphasizes early symptom recognition and adherence to safety measures. Multidisciplinary collaboration among pulmonologists, occupational health specialists, and public health professionals enhances both prevention and treatment. Ongoing research into the molecular effects of pollutants on lung tissue is paving the way for targeted therapies that could mitigate chronic damage, highlighting the importance of proactive strategies in environmental lung disease management.
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Behzad Rahmati, Isfahan University of Medical Sciences, Iran (Islamic Republic of)
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Yong Xiao Wang, Albany Medical College, United States
Title : Iatrogenic pneumothorax following nephrectomy: Case report
Chaimae Tahiri, National University Hospital Center of Fann, Senegal